Quality of Care Received by Children from 1 to 23 Months: Realities in The City of Antananarivo

<span>Children's health depends on the proper care they receive from their mothers. This study aims to describe the quality of care received by children from 1 to 23 months in the city of Antananarivo. This is a cross-sectional and analytical study for a period from December 2016 to April 2017 in the city of Antananarivo which is the capital of Madagascar. The study population was made up of 420 mother-child dyads living in the city of Antananarivo. Regarding the care received by children, 47.6%, 95% Confidence Interval (CI) [42.8–52.4] benefit from quality nutrition care, 92.3%, 95% CI [89.8-94.8], have a social care and 45.5%, 95% CI [40.9–50.5] receive health care. The hygiene of life 66.4%, 95% CI [61.6–70.6] and the body hygiene 35.3%, 95% CI [30.6–39.8] improve as the child grows up. The care received by children was complete for the five types in 7.6%, 95% CI [5.1–10.1]. With regard to the profile of the mother, mothers under the age of 18 (OR=3.25, 95% CI [1.07-9.46]) and those who are single (OR=3.47, 95% CI [1.24-9.35]) offer more acceptable care to their infants. Infant care depends on the socio-economic and demographic profile of the mother. Thus, it is important to strengthen the communication strategy on infant first aid gestures and mothers' education on childcare.</span>

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Association of Epworth Sleepiness Score with Anthropometric Measurements in Malaysian University Students

Recent Advances in Biology and Medicine ◽

10.18639/rabm.2020.972504 ◽

2020 ◽

Vol 6 ◽

pp. 1

Author(s):

Kavitha A Kumar ◽

Wan AMBW Othman ◽

Ashok K Jeppu ◽

◽

...

Keyword(s):

Pearson Correlation ◽

The Body ◽

Anthropometric Measurements ◽

Abdominal Circumference ◽

Quality Of Sleep ◽

Cross Sectional ◽

Obstructive Sleep ◽

Study Population ◽

The Mean

Malaysia has high prevalence of obesity in young adults. Obesity leads to health problems such as obstructive sleep apnea (OSA). It is a condition where nocturnal breathing cessation occurs during sleep. Thus, the quantity and quality of sleep is affected. Epworth Sleepiness Score (ESS) is a standardized tool to determine the quality of sleep. The aim of this study was to find the relationship between students’ sleep quality using this questionnaire and their anthropometric measurements. This study adopted a cross-sectional study design, with the convenience sampling technique applied on students of a private university in Malaysia. The participants answered the ESS questionnaire. Their height, weight, neck circumference, and abdominal circumference were obtained and the body mass index (BMI) was calculated. This study was conducted on 200 students with a mean age of 21.55 years. Their average BMI was 23.24 ± 6.1. The mean duration of sleep in the study population was 6.3 ± 1.4 SD hours. In the study population, the mean score for ESS was 10.32. A negative correlation between ESS scores and the BMI was noted. Pearson correlation showed —0.026 with a significance of 0.712. ESS scores showed that 17.9% of the study population had high risk of developing OSA. This study shows that as the BMI increases, the quality of sleep decreases, although it is not statistically significant.

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Violência contra a pessoa idosa

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v12i9a236354p2257-2268-2018 ◽

2018 ◽

Vol 12 (9) ◽

pp. 2257

Author(s):

Laryssa Grazielle Feitosa Lopes ◽

Marcia Carrera Campos Leal ◽

Edilson Fernandes de Souza ◽

Sarah Zayanne Rafael da Silva ◽

Nadja Nayara Albuquerque Guimarães ◽

...

Keyword(s):

Physical Violence ◽

Elderly Person ◽

Health Information Systems ◽

The Elderly ◽

Descriptive Study ◽

Mandatory Reporting ◽

Cross Sectional ◽

Study Population ◽

The City

RESUMO Objetivo: avaliar a ocorrência da violência sofrida pela pessoa idosa. Método: trata-se de estudo quantitativo, epidemiológico, de corte transversal, descritivo. A população do estudo consistiu na totalidade dos dados obtidos/notificados de casos suspeitos ou confirmados, a partir do Sistema de Informação de Agravos Notificáveis (SINAN), por meio do consolidado das fichas de notificação dos indivíduos com idade de 60 anos ou mais, que sofreram violência no período de 2009 a 2015. Resultados: os casos de violência, em sua totalidade (231), no que se refere ao local da ocorrência, foram prevalentes: a residência (80,5%), com vítimas de lesões não autoprovocadas (83,1%) e a violência física predominou (93,5%). O meio de agressão mais comum foi o espancamento (44,1%) com dois ou mais envolvidos (68,8%). O agressor, em sua maioria, era o filho (47,6%); o sexo ignorado/em branco prevaleceu (79,7%) seguido do masculino (17,3%) e, como evolução, a maioria (89,6%) dos internos recebeu alta. Conclusão: por ser um estudo inédito na cidade de Caruaru, os dados apresentados poderão servir de base para a realização de intervenções necessárias em nível de promoção e prevenção da saúde desse segmento populacional que está em crescimento e necessita de ações que lhe garantam mais qualidade de vida. Descritores: Idoso; Notificação Compulsória; Violência; Sistema de Informação em Saúde; Saúde Pública; Saúde do Idoso.ABSTRACTObjective: to evaluate the occurrence of violence suffered by the elderly person. Method: a quantitative, epidemiological, cross-sectional, descriptive study. The study population consisted in the totality of the data obtained/reported of cases suspected or confirmed, from the Information System for Notifiable Diseases (SINAN), by means of the confirmed in the forms of notification of individuals aged 60 or older, who suffered violence in the period from 2009 to 2015. Results: the cases of violence, in its entirety (231), which refers to the location of occurrence, there were prevalent: the residence (80.5%), with victims of not self-inflicted injuries (83.1%) and physical violence predominated (93.5%). The most common means of aggression was the beating (44.1%) with two or more involved (68.8%). The aggressor, in his majority, was the son (47.6%); the gender ignored/in blank prevailed (79.7%) followed by the male (17.3%), and as evolution, the majority (89.6%) of the patients was discharged. Conclusion: to be an unpublished study in the city of Caruaru, the data presented may serve as a basis for the implementation of interventions required in the level of health promotion and prevention of this segment of the population that is growing and requires actions that will ensure a better quality of life. Descriptors: Aged; Mandatory Reporting; Violence; Health Information Systems; Public Health; Health of the Elderly.

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Gender discrimination as a barrier to high-quality maternal and newborn health care in Nigeria: findings from a cross-sectional quality of care assessment

BMC Health Services Research ◽

10.1186/s12913-021-06204-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Chioma Oduenyi ◽

Joya Banerjee ◽

Oniyire Adetiloye ◽

Barbara Rawlins ◽

Ugo Okoli ◽

...

Keyword(s):

Quality Of Care ◽

Family Planning ◽

Health Services ◽

Gender Discrimination ◽

Newborn Health ◽

Maternal And Newborn Health ◽

Gender Based Violence ◽

Cross Sectional ◽

Care Assessment

Abstract Background Poor reproductive, maternal, newborn, child, and adolescent health outcomes in Nigeria can be attributed to several factors, not limited to low health service coverage, a lack of quality care, and gender inequity. Providers’ gender-discriminatory attitudes, and men’s limited positive involvement correlate with poor utilization and quality of services. We conducted a study at the beginning of a large family planning (FP) and maternal, newborn, child, and adolescent health program in Kogi and Ebonyi States of Nigeria to assess whether or not gender plays a role in access to, use of, and delivery of health services. Methods We conducted a cross-sectional, observational, baseline quality of care assessment from April–July 2016 to inform a maternal and newborn health project in health facilities in Ebonyi and Kogi States. We observed 435 antenatal care consultations and 47 births, and interviewed 138 providers about their knowledge, training, experiences, working conditions, gender-sensitive and respectful care, and workplace gender dynamics. The United States Agency for International Development’s Gender Analysis Framework was used to analyze findings. Results Sixty percent of providers disagreed that a woman could choose a family planning method without a male partner’s involvement, and 23.2% of providers disagreed that unmarried clients should use family planning. Ninety-eight percent believed men should participate in health services, yet only 10% encouraged women to bring their partners. Harmful practices were observed in 59.6% of deliveries and disrespectful or abusive practices were observed in 34.0%. No providers offered clients information, services, or referrals for gender-based violence. Sixty-seven percent reported observing or hearing of an incident of violence against clients, and 7.9% of providers experienced violence in the workplace themselves. Over 78% of providers received no training on gender, gender-based violence, or human rights in the past 3 years. Conclusion Addressing gender inequalities that limit women’s access, choice, agency, and autonomy in health services as a quality of care issue is critical to reducing poor health outcomes in Nigeria. Inherent gender discrimination in health service delivery reinforces the critical need for gender analysis, gender responsive approaches, values clarification, and capacity building for service providers.

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Perceived quality of surgical care in association with patient-related factors and correlation to reported postoperative complications in Finland: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-037708 ◽

2020 ◽

Vol 10 (11) ◽

pp. e037708

Author(s):

Ira Helena Saarinen ◽

Jaana-Maija Koivisto ◽

Antti Kaipia ◽

Elina Haavisto

Keyword(s):

Quality Of Care ◽

Postoperative Complications ◽

Cross Sectional Study ◽

Perceived Quality ◽

Living Alone ◽

Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Perceived Quality Of Care

ObjectiveTo study if patient-related factors are associated with patient-evaluated quality of care in surgery. To examine if there is an association with postoperative complications and patient-evaluated low quality of care.DesignA correlation cross-sectional study, in addition, a phone call interview at 30 days postoperatively to examine complications.SettingThe data on patients admitted for non-cardiac general and orthopaedic surgery at a central hospital in Southwestern Finland were collected in two phases during an 8-month period.Participants436 consecutive consenting and eligible in-ward non-cardiac general surgery and orthopaedic surgery adult patients. Ambulatory, paediatric and memory disorder patients were excluded. 378 patients completed the questionnaire (Good Nursing Care Scale for Patients (GNCS-P)).MethodsPerceived quality of care was examined by the GNCS-P questionnaire. Patient-related factors were obtained from electronic patient records and questionnaire. A telephone interview related to postdischarge complications was conducted 30 days after discharge.Main outcome measuresPatient evaluation of quality of care at discharge, its association with patient-related factors and patient-reported postdischarge complications.ResultsThe overall quality was evaluated high or very high by the patients. The lowest overall quality of care rate was assessed by surgical patients living alone (p=0.0088) and patients who evaluated their state of health moderate or poor (p=0.0047). Surgical patients reporting postoperative complications after discharge evaluated lower overall quality of care (p=0.0105) than patients with no complications.ConclusionPatient demographic factors do not seem to influence the perceptions of the quality of care. Instead, subjective state of health and living conditions (living alone) may have an influence on the patient experience of quality of care. The perceived quality of care in healthcare staff technical and communication skills may have an association with reported postoperative complications.

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The Relationship between Restless Legs Syndrome and Quality of Life in Patients with Myasthenia Gravis

European Neurology ◽

10.1159/000502002 ◽

2019 ◽

Vol 81 (3-4) ◽

pp. 205-208

Author(s):

Monica F. Ataide ◽

Carolina da Cunha-Correia ◽

Katia C.L. Petribú

Keyword(s):

Quality Of Life ◽

Myasthenia Gravis ◽

Restless Legs Syndrome ◽

Rating Scale ◽

Cross Sectional Study ◽

Cross Sectional ◽

Restless Legs ◽

Study Population ◽

Clinical Conditions

Background: Restless legs syndrome (RLS) is characterized for an uncomfortable sensation in legs and an irresistible desire to move them. This disorder has been more recently recognized in patients with myasthenia gravis (MG) and can interfere with the quality of life (QOL). Objectives: The aims of this study are to describe the prevalence of RLS and its severity and influence on the QOL in patients with MG. Method: This was a cross-sectional study conducted from May to June 2016 in Recife, Brazil. A sample of 42 patients was interviewed using a sociodemographic questionnaire, MG QOL questionnaire-15 and The RLS Rating Scale. Results: RLS was present in 47.6% of patients and of these 40.5% met moderate to severe RLS criteria. Patients were 45 years on average (SD ± 14.4) and women represented 57.1% of the study population. Among patients with RSL, the quality-of-life scores were worse (p = 0.010) on average. There was no association of RLS with the duration of MG, use of immunosuppressant or clinical conditions that could mimic the occurrence of RLS. Conclusion: RLS is a prevalent condition in patients with MG, and may be severe enough to negatively impact QOL.

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Physician beliefs about the impact of meaningful use of the EHR

Applied Clinical Informatics ◽

10.4338/aci-2014-05-ra-0050 ◽

2014 ◽

Vol 05 (03) ◽

pp. 789-801 ◽

Cited By ~ 13

Author(s):

D.Y. Ting ◽

M. Healey ◽

S.R. Lipsitz ◽

A.S. Karson ◽

J. S. Einbinder ◽

...

Keyword(s):

Quality Of Care ◽

Primary Care Physicians ◽

Meaningful Use ◽

The United States ◽

Improve Quality ◽

Cross Sectional ◽

Incentive Program ◽

Physician Beliefs ◽

The Impact

SummaryBackground: As adoption and use of electronic health records (EHRs) grows in the United States, there is a growing need in the field of applied clinical informatics to evaluate physician perceptions and beliefs about the impact of EHRs. The meaningful use of EHR incentive program provides a suitable context to examine physician beliefs about the impact of EHRs.Objective: Contribute to the sparse literature on physician beliefs about the impact of EHRs in areas such as quality of care, effectiveness of care, and delivery of care.Methods: A cross-sectional online survey of physicians at two academic medical centers (AMCs) in the northeast who were preparing to qualify for the meaningful use of EHR incentive program.Results: Of the 1,797 physicians at both AMCs who were preparing to qualify for the incentive program, 967 completed the survey for an overall response rate of 54%. Only 23% and 27% of physicians agreed or strongly agreed that meaningful use of the EHR will help them improve the care they personally deliver and improve quality of care respectively. Physician specialty was significantly associated with beliefs; e.g., 35% of primary care physicians agreed or strongly agreed that meaningful use will improve quality of care compared to 26% of medical specialists and 21% of surgical specialists (p=0.009). Satisfaction with outpatient EHR was also significantly related to all belief items.Conclusions: Only about a quarter of physicians in our study responded positively that meaningful use of the EHR will improve quality of care and the care they personally provide. These findings are similar to and extend findings from qualitative studies about negative perceptions that physicians hold about the impact of EHRs. Factors outside of the regulatory context, such as physician beliefs, need to be considered in the implementation of the meaningful use of the EHR incentive program.Citation: Emani S, Ting DY, Healey M, Lipsitz SR, Karson AS, Einbinder JS, Leinen L, Suric V, Bates DW. Physician beliefs about the impact of meaningful use of the EHR: A cross-sectional study. Appl Clin Inf 2014; 5: 789–801http://dx.doi.org/10.4338/ACI-2014-05-RA-0050

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Prevalence and quality of life in high school pupils with acne in Serbia

Vojnosanitetski pregled ◽

10.2298/vsp1310935p ◽

2013 ◽

Vol 70 (10) ◽

pp. 935-939 ◽

Cited By ~ 4

Author(s):

Jelena Peric ◽

Natasa Maksimovic ◽

Janko Jankovic ◽

Biljana Mijovic ◽

Vesna Reljic ◽

...

Keyword(s):

Quality Of Life ◽

High School ◽

Cross Sectional Study ◽

Cross Sectional ◽

Demographic Questionnaire ◽

Study Population ◽

Serbian Version ◽

The Impact ◽

Spearman’S Correlation

Background/Aim. Acne is a common problem in adolescent children with considerable emotional and psychological effects. The aim of this study was to determine the self-reported prevalence of acne and to assess its impact on the quality of life in high school pupils in Serbia. Methods. The cross-sectional study was conducted in May 2011 in two medical high schools in Serbia. Only pupils who gave a written informed consent to participate in the study (n = 440) were asked to fill in two questionnaires: short demographic questionnaire and Cardiff Acne Disability Index (CADI), a disease-specific questionnaire measuring disability induced by acne. Internal consistency (tested by Cronbach?s alpha) and item-total score correlations (Spearman's correlation analysis) were used for reliability analyses. Results. The study population consisted of 440 pupils, 281 from Belgrade and 159 from Uzice. Among them 371 (84.3%) were girls and 69 (15.7%) boys, with similar sex distribution in Belgrade and Uzice. The total mean age of pupils was 16.48 years (SD = 0.55). Out of 440 pupils 228 (51.8%) self-reported their acne. The acne prevalence was significantly higher in pupils from Uzice (73.6%) than in those from Belgrade (39.6%). The overall mean CADI score for the whole sample was 2.87 ? 2.74, with the similar quality of life impairment in adolescents from Belgrade and from Uzice. The mean Cronbach?s alpha was 0.82. Conclusion. This study shows that the quality of life impairment due to acne is mild for the majority of the affected pupils. The Serbian version of the CADI is a reliable, valid, and valuable tool for assessing the impact of acne on the quality of life.

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The influence of the practice of physical activity on the quality of life, muscle strength, balance, and physical ability in the elderly

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/s1809-98232013000100012 ◽

2013 ◽

Vol 16 (1) ◽

pp. 117-126 ◽

Cited By ~ 1

Author(s):

Mariana Martinez Orlando ◽

Maria Stella Peccin da Silva ◽

Império Lombardi Junior

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Muscle Strength ◽

The Elderly ◽

Physical Capacity ◽

Cross Sectional ◽

Elderly Individuals ◽

Assess Quality ◽

The City

INTRODUCTION: Ageing has become a huge public health challenge due to the need to find solutions for improving quality of life. OBJECTIVE: This study aimed to assess quality of life, muscle strength, balance and physical capacity among elderly practitioners and non-practitioners of physical activity. MATERIALS AND METHODS: An observational, cross-sectional study was carried out involving 74 elderly individuals in the city of Santos (state of São Paulo, Brazil), divided into two groups: practitioners and non-practitioners of physical activity. The International Physical Activity Questionnaire was used for the classification of the participants. The generic SF-36 questionnaire was used to assess quality of life. The Berg scale was used for the analysis of balance. Dynamometry was used for the muscle strength test. The six-minute walk test was used for the assessment of physical capacity. RESULTS: Significant differences were found between elderly practitioners and non-practitioners of physical activity regarding quality of life (p = 0.001), muscle strength (p = 0.001), balance (p = 0.001) and physical capacity (p = 0.001). The data also showed that aspects of quality of life were strongly correlated with physical capacity among the non-practitioners of physical activity (r = 0.741). CONCLUSION: Elderly individuals in the city of Santos (Brazil) who practice physical activity have better quality of life, muscle strength, physical capacity and balance in comparison to those who do not practice physical activity.

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Identification of post-cesarean surgical site infection: nursing consultation

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0325 ◽

2018 ◽

Vol 71 (suppl 3) ◽

pp. 1395-1403

Author(s):

Marcia Regina Cunha ◽

Maria Clara Padoveze ◽

Célia Regina Maganha e Melo ◽

Lucia Yasuko Izumi Nichiata

Keyword(s):

Quality Of Service ◽

Health Status ◽

Surgical Site Infection ◽

Medical Records ◽

Signs And Symptoms ◽

Site Infection ◽

Cross Sectional ◽

Cesarean Deliveries ◽

The City

ABSTRACT Objective: To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care. Method: Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo. Results: 89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection. Conclusion: Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.

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